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MRS. LOU MIZELLE DELACRUZ TANWANGCO PA-C
NPI 1609993708
Physician Assistant - Medical in San Bernardino, CA

Active since March 23, 2007
1906 COMMERCENTER E STE 100, SAN BERNARDINO, CA 92408(909) 478-7776(909) 478-7768 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Lou Mizelle Delacruz Tanwangco Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LOU MIZELLE DELACRUZ TANWANGCO PA-C (NPI 1609993708) is an individual medical provider in San Bernardino, California, licensed in California (PA17755) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609993708
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LOU MIZELLE DELACRUZ TANWANGCOCredential: PA-C
Location Address1906 COMMERCENTER E STE 100San Bernardino, CA 92408-3423
Mailing Address491 S La Salle StRedlands, CA 92374-6472 · (909) 709-2045
Phone(909) 478-7776
Fax(909) 478-7768
Sole ProprietorYes
Enumeration DateMarch 23, 2007
Last NPPES UpdateDecember 1, 2011
✔ NPI 1609993708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA17755
1906 COMMERCENTER E STE 100, San Bernardino, CA 92408
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE EMMA SWERDLOW WAILES
Nurse Practitioner
1906 COMMERCENTER E STE 100
SAN BERNARDINO, CA 92408
San Bernardino County (909) 891-1913
MISS CATHERINE DOMINGO OMS RN, PAC
Physician Assistant (Medical)
1906 COMMERCENTER E STE 100
SAN BERNARDINO, CA 92408
San Bernardino County (909) 478-7776

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lou Mizelle Tanwangco's NPI number?

The NPI number for Lou Mizelle Tanwangco is 1609993708. It was assigned to this individual provider in the NPPES registry on March 23, 2007.

Where is Lou Mizelle Tanwangco located?

Lou Mizelle Tanwangco practices at 1906 Commercenter E Ste 100, San Bernardino, CA 92408. The listed phone number is (909) 478-7776.

What is Lou Mizelle Tanwangco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Lou Mizelle Tanwangco was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.